Individual
BRIAN MICHAEL MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
92 LODESTONE WAY, TOOELE, UT 84074-8050
(435) 833-1900
Mailing address
92 LODESTONE WAY, TOOELE, UT 84074-8050
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
716565
UT
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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